Bartley J R, Connew A M
Day Surgical Unit, Green Lane Hospital, Auckland.
N Z Med J. 1994 Nov 9;107(989):451-2.
To assess the difficulties parents have caring for a child at home after day stay tonsillectomy.
Parents of fifty two children who had day stay tonsillectomy or adenotonsillectomy were questioned by telephone the following morning and 10 to 14 days following surgery about difficulties they had experienced following discharge from the unit.
The following morning six parents (12%) found the pain difficult to manage with paracetamol and in nine children (17%) the fluid intake was poor. The patient's general practitioner was consulted for advice by fifteen parents (30%) during the postoperative period. Psychological problems were experienced by four children (8%). The majority of parents had few problems and felt comfortable caring for the child at home following surgery.
While most parents were happy caring for the child at home some parents had difficulties particularly with pain relief and ensuring adequate fluid intake. Communication links and support for these parents need to be improved. Surgical and anaesthetic techniques to reduce postoperative discomfort also need to be explored.
评估日间扁桃体切除术后家长在家照顾孩子的困难程度。
对52例行日间扁桃体切除术或腺样体扁桃体切除术患儿的家长，于术后次日及术后10至14天通过电话询问其出院后所经历的困难。
术后次日，6名家长（12%）发现用扑热息痛难以控制疼痛，9名患儿（17%）液体摄入量少。15名家长（30%）在术后期间向患儿的全科医生咨询建议。4名患儿（8%）出现心理问题。大多数家长问题较少，术后在家照顾孩子感觉轻松。
虽然大多数家长乐于在家照顾孩子，但一些家长存在困难，尤其是在疼痛缓解和确保充足液体摄入方面。需要改善与这些家长的沟通渠道并提供支持。还需探索减轻术后不适的手术和麻醉技术。
